Related Experiment Video
Updated: Feb 5, 2026

Using Virtual Reality to Transfer Motor Skill Knowledge from One Hand to Another
Published on: September 18, 2017
Obstetrics knowledge and skills training as a catalyst for change
R C Pattinson1, A-M Bergh, J Makin
1South African Medical Research Council Maternal and Infant Health Care Strategies Unit, Faculty of Health Sciences, University of Pretoria, South Africa; Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Pretoria, South Africa. robert.pattinson@up.ac.za.
Structured training improved healthcare worker knowledge and skills in obstetric emergencies. However, facility capacity for emergency obstetric care saw only modest improvements, highlighting systemic needs.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Quality Improvement
- Medical Education
Background:
- Poor emergency obstetric care contributes to maternal deaths in South Africa.
- National confidential enquiries highlight deficiencies in obstetric care.
- Addressing these deficiencies is crucial for maternal health outcomes.
Purpose of the Study:
- To evaluate the impact of a structured training course on healthcare professionals' knowledge and skills in emergency obstetric care.
- To assess if this training enhances healthcare facilities' capacity to provide essential obstetric care signal functions.
Main Methods:
- A baseline survey assessed emergency obstetric and neonatal care signal functions in 51 community health centers (CHCs) and 62 district hospitals (DHs).
- A structured training program (Essential Steps in Managing Obstetric Emergencies, ESMOE) was implemented.
- Knowledge and skills were tested pre- and post-training; facility re-assessment occurred one year after training.
Main Results:
- Significant improvements in knowledge (13.7–16.8%) and skills (29.0–32.8%) were observed across doctors, midwives, and nurses.
- Basic emergency obstetric care functions improved from 60.8% to 67.8% in CHCs and 90.7% to 92.5% in DHs.
- Excluding specific procedures, CHC functionality increased from 85.1% to 94.9%.
Conclusions:
- The ESMOE training effectively enhanced healthcare professionals' knowledge and skills in managing obstetric emergencies.
- Facility capacity for emergency obstetric care showed only modest improvement post-training.
- Systemic changes, including scope of practice adjustments and staffing, are necessary for substantial improvements in facility functionality.
Related Concept Videos
Global Climate Change
Rates of Change
Work Done During Volume Change
Consider a gas confined to a cylinder fitted with a movable piston at one end. If the gas expands from volume V1 to volume V2, it exerts a force on the piston, such that the piston moves by a distance dr.
The work done by the gas on the piston can be expressed as
Le Chatelier's Principle: Changing Temperature
To understand this phenomenon, consider the elementary reaction:
Standard Entropy Change for a Reaction
Factors Influencing Attraction V: Social Skills

